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Determination of new anthropometric cut-off values for obesity screening in Indonesian adults.
- Source :
-
Asia Pacific journal of clinical nutrition [Asia Pac J Clin Nutr] 2017; Vol. 26 (4), pp. 650-656. - Publication Year :
- 2017
-
Abstract
- Background and Objectives: Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-stature ratio (WSR) have increasingly been used as screening tools for obesity. However, optimal cut-off values may be different between populations. The current study determined the optimum cut-off values for BMI, WC, WHR, and WSR for obesity screening in Indonesian adults using receiver-operating characteristic (ROC) analysis.<br />Methods and Study Design: Stature, body weight, waist and hip circumferences were measured on 600 Indonesians aged 18-65 years (males, n=292; females, n=308) and BMI, WHR, and WSR calculated. Percentage of body fat (%BF) was determined using the deuterium isotope (D2O) dilution technique. Some existing cut-off points for obesity determination were evaluated for sensitivity and specificity.<br />Results: The existing cutoff values showed low sensitivity in our sample (between 18.4 and 71.1%) and new proposed cut-offs increased the sensitivity to reach 66.7 to 88.5%. The new cut-offs for BMI, WC, WHR, and WSR for determination of obesity were 21.9 (kg/m2), 76.8 (cm), 0.86, and 0.48, respectively, for males and 23.6 (kg/m2), 71.7 (cm), 0.77, and 0.47, respectively, for females.<br />Conclusions: WC and WSR are the most predictive both for males and females, and therefore are considered as better screening tools for obesity in this population.
Details
- Language :
- English
- ISSN :
- 0964-7058
- Volume :
- 26
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Asia Pacific journal of clinical nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 28582815
- Full Text :
- https://doi.org/10.6133/apjcn.072016.09